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1376020602
LARRA WILLIAMS
SACRAMENTO, CA
NPI
1376020602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
LARRA WILLIAMS
2218 E ST
SACRAMENTO, CA 95816-3511
Phone number: 916-442-4519
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Mailing Address
LARRA WILLIAMS
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number: 916-442-3979
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